Cognitive Behavioral Treatment for Suicidal Alcohol Abusing Adolescents: Development and Pilot Testing

This study piloted a cognitive behavioural treatment protocol for adolescents with co-occurring alcohol use disorder & suicidality, examined its association with symptomatic improvement, & determined its feasibility & acceptability. Treatment consisted of a 6-month acute treatment phase, 3-month maintenance phase, & a 3-month booster phase as well as case management services. Participants were also allowed to receive concurrent pharmacotherapy. 5 of 6 families completed the protocol Decreases in alcohol use & suicide ideation were reported for all participants. 2 of the 5 participants, both with a prior history of suicide attempts, re-attempted during the course of the protocol. A high retention rate, strong therapeutic alliance ratings, & low perceived treatment obstacles provide support for the feasibility & acceptability of this intervention. (21 refs.)